Why the study?
The study evaluated the feasibility of using obturator nerve block guided by a nerve stimulator to prevent thigh adductor muscle spasm during transurethral resection of bladder tumors.
Does spinal anesthesia with obturator nerve block prevent thigh adductor muscle spasm compared to general anesthesia with muscle relaxants in patients undergoing transurethral resection of bladder tumor?
Population
50 patients with lateral wall bladder tumor undergoing transurethral resection
Comparison
Spinal anesthesia plus obturator nerve block vs general anesthesia with muscle relaxants
Design
Prospective randomized study
Authors
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Obturator nerve block does not eliminate adductor spasm; does not support its use alone to prevent bladder perforation in TURBT.
Does spinal anesthesia with obturator nerve block prevent thigh adductor muscle spasm compared to general anesthesia with muscle relaxants in patients undergoing transurethral resection of bladder tumor?
Spinal anesthesia with obturator nerve block does not guarantee the absence of adductor muscle spasm and cannot be recommended alone to prevent bladder perforation during transurethral resection.
Рычков et al. (2019) studied this question.
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